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Home My WebLink AboutBP24-030PERMIT # SECTION L TYPE OF WORK JOB LOCATION CONTRACTOR ST. CO # TCO # FOOTING FOUNDATION FRAMING RGH FRAMING INSULATION PLUMBING RGH PLUMBING GAS SPRINKLER ELECTRIC I� LOW -VOLT r7 ALARM AS BUILT FINAL I, S A* BLACK LQT'...i�.l J FEE DATE INSPECTION RECORD DATE INSP Poo "4d ht Ft�o �o 7k//: 7 /QQ/4/io4a Cao3 Dq9- / 986 OTHER APPROVALS OTHER DR O� ACV VJJ�� . 19 t� VILLAGE OF RYE BROOK MAYOR 938 King Street, Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A. Klein (914) 939-0668 Christopher J.Bradbury www.ryebrookny.g_ov TRUSTEES BUILDING& FIRE INSPECTOR Susan R.Epstein Steven E. Fews David M.Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE August 28,2025 Angela Yeager 70 Woodland Avenue Rye Brook,New York 10573 Re: 70 Woodland Avenue, Rye Brook,New York 10573 Parcel ID#: 135.75-1-67 Building Permit#24-030 issued on 2/28/2024 for a Replacement Entry Door This certifies that the new entry door,installed under the above captioned permit has been satisfactorily completed. Sincerely, /2a; Steven E. Fews Building&Fire Inspector /to BUILDING DEPARTMENT[JU:N 10 2024 i VILLAGE OF RYE BROOK PERbtIT# —03c7 rssut:u:Q 938 KING STREET;I2YE BROOK,NEw YORK 10573 DATE: p aov VILLAGE OF RYE BROOK (914)939-0668 FEE: A PAILAt BUILDING DEPARTMENT www.ryebrook.or,_, APPLICATION FOR CERTIFICATE OF OCCUPANCY,CERTIFICATE OF COMPLIANCE, AND CERTIFICATION OF FINAL COSTS TO BE SUBMITTED ONLY UPON COMPLETiON c";F ALL WOItiC, A11D PRIOR TO 'I HE FItdAL IIISPECTION ....................................................................a....................................................... Address: i0 tj00o(LCtnd1 �e , R,ye a>tiok , /0S�3 Occupancy/Use: Residential Parcel ID#: /35-7S- /— 673- Zone: .0 ea Owner: Angela Yeager Address: 70 Woodland Ave, RYE BROOK NY 10573 P.E./R.A. or Contractor: Renewal by Andersen Address: 2041 W Main St., Stamford CT 06902 Person in responsible charge: Franklin Barahona Address: 2041 W Main St.: Stamford CT 06902 Application is hereby made and submitted to the Building Inspector of the Village of Rye Brook for the issuance of a Certificate of Occupancy/Certificate of Compliance for the structure/construction/alteration herein mentioned in accordance with law: STATE OF NEW YORK,COUNTY OF WESTCHESTER as: , I Angela Yeager being duly sworn,deposes and says that he/she resides at 70 WOO d l an-G Ale— (Print Name of Applican) (No and Street) in Rye Brook ,in the County of Westchester in die State of New York that (C'ityrfown/Village) he/she has supervised the work at the location indicated above,and that the actual total cost of the work,including all site improvements, labor,materials,scaffolding,fixed equipment,professional fees,and including the monetary value of any materials and labor which may have been donated gratis was:S Q I Oo0 for the construction or alteration of. Installation of uqka w"'" E r'-' �� into Exisiting Openings with no Structural Alterations. Deponent further states that he/she has examined the approved plans of the structure/work herein referred to for which a Certificate of Occupancy/Compliance is sought,and that to the best of his/her knowledge and belief,the structure/work has been erected/completed in accordance with the approved plans and any amendments thereto except in so far as variations therefore have been legally authorized,and as erected/completed complies with the laws governing building construction.Deponent further understands that it shall be unlawful for an owner to use or permit the use of any building or pretmiscs or part thereof hereafter created,erected,changed,converted or enlarged,wholly or partly,in its use or structure until a Certificate of Occupancy or Certificate of Compliance shall have been duly issued by the Building Inspector as per§250-10.A.of the Code of the Village of Rye Brook. Sworn to before me this igkb Swom to before me this day ^of 09rf , 20sy day of lop i ,20 & HRIAN MACDONALL) NOTARYPUBVC Si natur of Pro ut OwncJ State ojConnecticut Signature o Applicant My COMMISSION EXPIRES Oct M 2020 Angela Yeager Franklin Barahona Print Name of Property Owner Print Name of Applicant Notary Public Notary Public QyE BR1. C�� 1932 BUILDING DEPARTMENT ❑BUILDING INSPECTOR ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET . RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www.ryebrook.org - - - - - - - - -- - -- - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : l J W 00 C - DATE: - g Z UZ Z PERMIT# ISSUED: ' 2 V SECT: BLOCK: LOT:_ LOCATION: �1��-� t1'�Z. OCCUPANCY: ❑ VIOLATION NOTED THE WORK IS... 0' ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS 'J� ❑ L.P. GAS ❑ FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL❑" OTHER V'V,\ 1 c`, 1 . a � y a N N N .a ��•'.o \ P4 0" C ; p W p 4 V w r C14 W W x p V 1�I LOILn O Z � \ o W - O O H O p 0 �"'� O Q E" `�,� 3 " C a v CS tC7 = e,jZ Z O _ x W H °i _ a w V Q u s3 ti a°' v _ C y - x,4 W z W W � � CC*4\ � 7 W A cc, z o ~ " zwz� N C -S -a v z v Z & E , 0%4 \m � � a y cn o T--4 �' W A c x w � � � � ,� � " • � U - = oo 1� M 9 c� Z w z E� �- O �4 z v H p W O v -° b 1-4 V w y U o C o. D 4. o o Ham ° - C7 �" A z o � 1-4 � f-4 a W x � BUILDING DEPARTMENT D [E C IE N E VILLAGE OF RYE BROOK FEB 2 3 2024 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK www.I-yebroolc.orQ BUILDING DEPARTMENT ADMINISTRATIVE EXTERIOR BUILDING PERMIT APPLICATION FOR EXTERIOR WORK WHICH DOES NOT REOUIRJE VILLAGE ARCHITECTURAL REVIEW BOARD APPROVAL FOR OFFICE USE ONLY: �y APPROVAL DATE. FEB PE IT#: WD— SOAPPLICATIO/N[JFEE:0/nCJ0 �6 APPROVAL SIGNATURE: PERMIT FEES: A 7 � � /- b H.O.A.APPROVAL: D TE: DISAPPROVED: OTHER: �� 'A I / Application dated:February 21, 2024 is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below. I. Job Address:70 Woodland Ave, Rye Brook NY 10573 2. Parcel ID#: 135.75-1-67 Zone:_—� 3. Proposed Improvement(Describe in detail): Removal and Installation of( 1 ) Replacement Entry Door into existing opening with no structural alterations. 4. Property Owt►er: Angela Yeager Address:70 Woodland Ave, Rye Brook NY 10573 Phone# (914)484-2657 Cell# (914)484-2657 e-mail aly5725@aol.com List All Other Properties Owned in Rye Brook: Applicant: Franklin Barahona Address: 421 West Avenue, Stamford CT 06902 Phone# 203.406A545 Cell# 203.249.1986 e-mail Permits@RBAWestchester.com Architect: Address: Phone# Cell# e-mail Engineer: Address: Phone# Cell# e-mail General Contractor: Fairchester Custom Windows dba Renewal by Andersen Westchester Address: 421 West Avenue, Stamford CT 06902 Phone# 203.406.0545 Cell# 203.249.1986 e-mail Permits@RBAWestchester.com (I) 6/112023 5. Occupancy;(1-Fam.,2-Fam.,Commercial.,eta...)Pre-construction: 1-2 Fam Post-construction: 1-2 Fam 6. Area of lot: Square feet: Acres: 7. Dimensions from proposed building or structure to lot I ines: front yard: rear yard: right side yard: left side yard: other: 8. If building is located on a comer lot,which street does it front on: 9. Area of proposed building in square feet: Basement: 11,fl: 2'fl: 3rd fl: 10. Total Square Footage of the proposed new construction: 1 I. For additions,total square footage added:Basement: I'fl: 2"d fl: 31 fl: 12, Total Square Footage of the proposed renovation to the existing structure: 13. N.Y.State Construction Classification: N.Y.State Use Classification: 14. Construction Type&Location:()Typical Western Lumber Frame;()Timber Frame[TC];()Wood Truss[TT]; ()Pre-engineered wood[PW];Located;O Floor Framing[F];O Roof Framing[R];O Floor&Roof Framing[FR];Other: 15. Number of stories: 3 Overall Height: Median Height: 16. Basement to be full,or partial: , finished or unfinished: 17. What material is the exterior finish: 18. Roof style:peaked,hip,mansard,shed,etc: Roofing material: 19. What system of heating: 20. If private sewage disposal is necessary,approval by the Westchester County Health Department must be submitted with this application. 21. Will the proposed project require the installation of a new,or an extension/modification to an existing automatic fire suppression system?(Fire Sprinkler,ANSL System,FM-200 System,Type I Hood,etc...)Yes: No: X (if yes,applicant must submit a separate Automatic Fire Suppression System Permit application&2 sets of detailed engineered plans) 22. Will the proposed project disturb 400 sq.ft.or more of land,or create 400 sq.ft.or more of impervious coverage requiring a Stormwater Management Control Permit as per§217 of Village Code? Yes: No: X Area: 23. Will the proposed project require a Site Plan Review by the Village Planning Board as per§209 of Village Code? Yes: No: x (if yes,applicant must submit a Site Plan Application,&provide detailed drawings) 24. Will the proposed project require a Steep Slopes Permit as per§213 of Village Code Yes: No: X (tf yes,you must submit a Site Plan Application,&provide a detailed topographical survey) 25. Is the lot located within 100 ft.of a Wetland as per§245 of Village Code? Yes: No: X (if yes, the area of wetland and the wetland buffer zone must be properly depicted on the survey&site plan) 26. Is the lot or any portion thereof located in a Flood Plane as per the FIRM Map dated 9/28/07? Yes : No: X (if yes, the area and elevations of the flood plane must be properly depicted on the survey&site plan) 27. Will the proposed project require a Tree Removal Permit as per§235 of Village Code?Yes: No: X (if yes,applicant must submit a Tree Removal Permit Application) 28. Does the proposed project involve a Home-Occupation as per§250-39 of Village Code? Yes: No: X Indicate:TIER 1: TIER II: TIER III: (if yes,a Nome Occupation Permit Application is required) 29. What is the total estimated cost of construction: $ 8,000 Note:estimated cost shall include all site improvements,labor,material,scaffolding,fixed equipment,professional fees, including any material and labor which may be donated gratis.If the final cost exceeds the estimated cost,an additional fee will be required prior to issuance of the CIO. 30. Estimated date of completion: TBD (2) 6/1/2023 BUILDING DEPARTMENT 3D VILLAGE OF RYE BROOK FEB 2 3 2 24 938 KING STREET RYE BROOK,NY 10573 (914)939-0668 VILLAGE OF RYE BROOK %v,v„xvehrook.or2 BUILDING DEPARTMENT AFFIDAVIT OF COMPLIANCE VILLAGE CODE �216 • STORM SEWERS AND SANITARY SEWERS THIS AFFIDAVIT MUST BEAR THE NOTARIZED SIGNATURE OF THE LEGAL PROPERTY OWNER AND BE SUBMITTED ALONG WITH ANY BUILDING OR PLUMBING PERMIT APPLICATION. ANY BUILDING OR PLUMBING PERMIT APPLICATION SUBMITTED WITHOUT THIS COMPLETED AND NOTARIZED FORM WILL BE RETURNED TO THE APPLICANT . STATE OF NEW YORK, COUNTY OF WESTCHESTER ) as: Angela Yeager , residing at, 70 Woodland Ave , Rye Brook NY 10573 being duly sworn, deposes and states that(s)he is the applicant above named, and further states that(s)he is the legal owner of the property to which this Affidavit of Compliance pertains at; 70 Woodland Ave , Rye Brook NY 10573 , Rye Brook,NY. Further that all statements contained herein are true, and that to the best of his/her knowledge and belief, that there are no known illegal cross-connections concerning either the storm sewer or sanitary sewer, and further that there are no roof drains, sump pumps, or other prohibited stormwater or groundwater connections or sources of inflow or infiltration of any kind into the sanitary sewer from the subject property in accordance with all State, County and Village Codes. r� (Sigutf6rc of roperty Owner(s)) Angela Yeager Sworn to before me this Z, day of ktrVQLI-l . 20 z-5� (Molar, F3RIAN MACDONAL.0 NOTARY PUBLIC State ofCartnecticut WY COMMISSION EXPIRFS Oct.31 a'IF (6) 8/12/2021 This application must be properly completed in its entirety by a N.Y. State Registered Architect or N.Y. State Licensed Professional Engineer & signed by those professionals where indicated. It must also include the notarized signature(s) of the legal owner(s) of the subject property, and the applicant of record in the spaces provided. Any application not properly completed in its entirety and/or not properly signed shall be deemed null and void, and will be returned to the applicant. Please note that application fees are non-refundable. STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: FRANKLIN BARAIIONA , being duly sworn,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that (s)he is the legal owner of the property to which this application pertains, or that (s)he is the CONTRACTOR for the legal owner and is duly authorized to make and file this application. (indicate architect,contractor,agent,attorney,etc.) That atl statements contained herein are true to the best of his/her knowledge and belief, and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws, ordinances and regulations. By signing this application, the property owner further declares that he/she has inspected the subject property, and that to the best of his/her knowledge there are no roof drains, sump pumps or other prohibited stormwater or groundwater connections or sources of infiltration into the sanitary sewer system on or from the subject property. Sworn to before me this I Sworn to before me this Z day of r eC1fy `y 20 Zq day of fLktH ,20 o Signatu of Prope Own (� Signature of scant Angela Yeager Franklin Barahona Print Name of Property Owner Print Name of Applicant Notary Public Notary Public BRIAN MACDONALD BRIAN MACDONALD NOTARY PUBLIC NOTARY PUBLIC State of Connecticut State of Connecticut MY COMMISSION EXPIRES OcL 312026 MYCOMMISSPON EXPIRES Oct.31 ZD26 l;) 8/12/2021 4�,��,, Agreement Document and Payment Terms �),/' DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Angela Yeager Legal Name:Fairchester Custom Windows LLC 70 Woodland Ave. RENEWAL CT HIC4.0667292,WC-35743-H22,Putnam 451220 Rye Brook,NY 10573 byANDERSEN 421 West Ave,Building 1 1 Stamford,CT 06902 H:(914)484-2657 Phone:203-406-0545 1 Fax:203-406-0828 sales@rbawestchester.com Angela Yeager 02/16/24 BUYER(S)NAME CONTRACT DATE 70 Woodland Ave.,Rye Brook ,NY 10573 (914)484-2657 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER aly5725@aol.com PRIMARY EMAIL SECONDARY EMAIL NOTES: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Fairchester Custom Windows LLC d/b/a Renewal By Andersen of Westchester and Fairfield County("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms, any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. TOTAL JOB AMOUNT: $8,098 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. DEPOSIT RECEIVED: $1,000 BALANCE DUE: $7,098 We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at AMOUNT FINANCED: $7,098 this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the mos common causes for delay. METHOD OF PAYMENT: Credit Card Financing NOTES: Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties an I that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 02/20/2024 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ............. I i�llr� —<2 tya— ur.:; — SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Joe Cardone Angela Yeager PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/16/24 Page 2/ 33 RWA Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Angela YeagerLegal Name:Fairchester Custom Windows LLC 70 Woodland Ave. R 4EN E L CT HIC#.0667292,WC-35743-H22,Putnam#51220 Rye Brook,NY 10573 bYANDERSEN 421 West Ave,Building 11 Stamford,CT 06902 H:(914)484-2657 FluVwtmn 'Mcnarn Phone:203-406-0545 i Fax:203-406-0828 1 sales@rbawestchester.com ROOM: SIZE: DETAILS: PRICE: 0W MiSc Misc, Permit Fe�sYTown of Rye Brook- Estimated Permit H Fees, Quantity 1, Renewal by Andersen will facilitate the application of the building permit to the Town of Rye Brook, Homeowner is responsible for any outstanding permit applications or code violations that may prevent Renewal by Andersen from procuring permit. Renewal by Andersen is not responsible for any historical or architectural review applications and aporovals that may be requited as pre- requisite for a building permit. 0 y� Misc Misc, Miscellaneous Job Items, Lead S;:fe Work H Practices, Quantity 1, EPA requires contractors that disturb painted surfaces in homes, built before 1978 to be certified and follow specific work practices. 0 Misc Misc, Miscellaneous Job Items, Miscellaneous, Quantity H 1, Misc, Miscellaneous Job Items. Quantity 1. WINDOW/ DOOR WARRANTY: Twenty year warranty on insulated glass seals (Argon retention). Twenty year warranty on window/door frames and sashes. Ten year warranty on all ion-glass parts. Installation provider) by Renewal by Andersen's Certified Master Installers is warrantied for a full Twenty years. Warranty is non-prorated and fully transferable. Removal of all waste & debris also included. Foyer 0 W Misc Misc, Miscellaneous Job Items, Pro-Via Door, Quantity 0 H 1, Details of ProVia door specifications to be provided on C� /' supplemental agreement. /�� ;PH Misc Misc, Miscellaneous Job Items, Miscellaneous, Quantity 1. 28% friends and family good for 2 years for any additional work. Jc 02/16/24 Page 3/ 33 Itemized Order Receipt ry DBA:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD COUNTY Angela Yeager Legal Name: Fairchester Custom Windows LLC 70 Woodland Ave. RENEWAL CT HIC4.0667292,WC-35743-1122,Putnam 451220 Rye Brook,NY 10573 brANDERSEN 421 West Ave.Building 1 I Stamford,CT 06902 H:(914)484-2657 •w xnxt.ux.aroa wuurn Phone:203-406-0545 1 Fax:203-406-0828 1 sales@rbawestchester.com ROOM: SIZE: DETAILS: PRICE: WINDOWS: 0 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 5 TOTAL $8,098 Renewal by Andersen is committed to our customers'safety by coneplyiug with the rules and lead-safe work practices specified by the EPA. 02/16/24 Page 4/ 33 E a N o v N N O w b0 1] N _ U. v '� a O E m'� w l7 Vf 01 w > X 00 O om 9 la _ N 4 '^ N O C V Z O a0 N N E 00 L Z 00 a1 C 0 LL N O �> Z O O N N Q 3 p L s s 3 v L Q °o a m Y c i N y V 61 Z Ia Ln�N C Z L U C Q a) N 00 `J O0) C Ut X Z > C_ � p WLM oa LLZ a5o 7 v "D —CID O O d C O -C c m ¢ H �E rn c W v Ia vY c Lt L v ti WW` J y z M N E C pC0 V 3 O j - L V d w� M L C w ` r ' N Y (a fa J72 H Ii. C V L Mo. Q to X a `—' = C E N E N c Z o L v E • • w L � � E m` t ca `o �c S ac E E ii c 0 3 °: E /y • • d C 2 O a0 2 O ,L fa A — V L i — N N Z V C S M �.L Z Q' N O V O S Q Q LL O Vl V7 Q V U = V C � - 1 .. p O � W00 OD I,�fs C Q 6 m "= a E cn I o s i 'r' - � �, N � '3 N O v 0 o - `s V a J g Vw E N E � � Z a o > � E c z " r" N V3 E Y �C E N C o LAIa a � c W ao 6 �a r LL °o 5 O 3 E c� _ a = .011111 IBM � 1. Of � T N O � J ` tJ O 6 �D I N b ` N V Ib+l m N 7 n A a W AFAF Order Summary NAF dba:RENEWAL BY ANDERSEN OF WESTCHESTER AND FAIRFIELD Angela Yeager COUNTY 70 Woodland Ave. R E*NE WA L Legal Name:Fairchester Custom Windows LLC I License#CT HIC#.0667292, Rye Brook,NY 10573 byANDERSEN WC-35743-1-122,Putnam#51220 H:(914)484-2657 i°LLvma.aao..000�mucuui 421 West Ave,Building 1 1 Stamford,CT 06902 Phone:203-406-0545 1 Fax:203-406-0828 1 tech@rbawestchester.com •• FLOOR UNIT NOTES Renewal by Andersen will facilitate the application of the building permit to the Town of Rye Brook. Homeowner is EPA requires contractors that disturb painted surfaces in homes,built before 1978 to be certified and follow specific work practices. Misc,Miscellaneous Job Items,Quantity 1, WINDOW/DOOR WARRANTY:Twenty year warranty on insulated glass seals(Argon Details of ProVia door specifications to be provided on supplemental agreement. 28%mends and family good for 2 years for any additional work.Jc Original: 02/16/24 1 Updated: 02/20/24 9:13 PM Page 4 / 16 .,n♦also U .z' } LD ■ 10:35PM Fri Feb16 .piya1%�} X U I" i� 'r is y r- - I t � - �7 Lij r :NET= Gt i r _ _ t 10:35PM Fri Feb 18 ... .MI$41% X u f t �I i Fairchester is not using an Engineer / Architect due to installation of replacement windows and doors into EXISTING openings with NO structural alterations . Tax Parcel Maps Address: 70 Woodland Ave Print Key: 135.75-1-67 SBL: 13507500010670000000 IL 1 1 I i 1 a i i i i i i i i ► ,row" to � '��-t ��a• T t !„, M Disclaimer: This tax parcel map is provided as a public service to Westchester County residents for general information and planning purposes only,and should not be relied upon as a sole informational source.The County of Westchester hereby disclaims any liaoility from the use of this GIS mapping system by any person or entity.Tax parcel boundaries represent approximate property line location and should NOT be interpreted as or used in lieu of a survey or property boundary description.Property descriptions must be obtained from surveys or deeds.For more information please contact the assessor's office of the municipality. � +' �..-► $t s w�'b�"ng �'' '�.q ^ray.'$''h.` ' .. ffiA 'firr' `•A �. .r' i�.n4 �i` k.v ... ,� � r � �- n e•r ^ f ^b .�}n f nth .�,., v. f) •�'"!' .� ,,,�y'y'{q(} �.rr �tj r`'� ,r ;4S R a r c*{ Y ..� P !r � ftt,,hy�r� h •� �Z?� ' j•Y .�Gh'C"'t/r �topv>- F'�^e�b-f j'+t :O �4, '!!r :� ':SJ�'}t1r� y•`�'h5r a J 1�51,,t1, ..� j rySY k r� ,.e pr. •f fY � 1�}ur w4� f ,i r'fTi:? s�r '$k x f r:, i rr.Yt orYn6•. 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FAIRCUS-01 _ T DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 9129f2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poiicy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). - _-- c ACT Theresa Brandon rMBI ODUCER Company Group LLC PHONE F�,N,:(203 281-0414 rue,Nd,Ert; 203 288-3401 1280 State Streettheresa.brandon bi-Ins.eom North Haven.CT 06473 _ INSURER AFFORDING COVERAGE NAIL N INSURER A:Selective Insurance Company of America 12572 INSURED INSURER a: Fairchester Custom Windows LLC dba:Renewal by Andersen Fairchester INSURERD' 2041 West Main Street Stamford,CT 06902 INSURERE: INSURER f C V RA -___ CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS -- POLICY EFFT POLICY EXP LIMITS TYPE OF INSURANCE ADOL __ POLICY N_UM_8_ER--_---- MIGAIYYYYM ----- 1.000.000 A ) COMMERCIAL AL ENE LIABILITY EA H OCCURRENCE CLAIMS MADE X OCCUR X S 2516791 $/1212023 $/12/2024 DAMAGE TO RENTED 500,000 �� A one $ 15,000 PERSON -------.-- .------ ME AL 8 ADV INJURJUR Y 1'000'000 GENERAL AGGREGATE S 3,000'000 ENL AGGREGATE LIMIT APPLIES PER 3 pW000 POLICY _X]PR, loC PRODUCTS-COMPfOPAGG S OTHER __ -- -- _---' -- -- COMBINED SINGLE LIMIT 1,000,000 IFa award A AUTOMOBILE LIABILITY A NYO S 2SIS791 8/12/2023 811212024 BODILY INJURY Per person OVVNEDNLY X AUIOSULED BODILY INJURY Per aa�tlenl pN py�N p PReOPE ��AMAGE E NLY X AUTOS Oa`d$500 X Colldion Ded S5W __--- - 4,000,000 ED A LA LIAO X OCCUR FA H RRENCELIAR CLAIMS MADE X S 2516791 8112/2023 8/1212024 gGGREGATE $ 4'�'�X1 RETENTIONS 0 _ ---- E X PER X OTH- A WORKERS COMPENSATION TAIL TIE SODr000 AND EMPLOYERS'LIABILITY C 9099063 8/12/2023 8/12/2024 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EL EACH ACCIDENT p�FICER/M MgE R EXCL I IDED'� NIA 500'� (MadMaY�d NH) E L DISEASE EA EMPL V $ If ee deacnbe under E.L DISEASE-POLICY LIMIT E 'er DESCRIPTION OF OPERATIONS below -_ -. -- -----'- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remartes Schedule.may be attached If more pace rs required) Vi11a9e of Rye Brook is Additional Insured as required by written contract per the endorsements included with this certificate. CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS 938 King Street _. Rye Brook.NY 10573 AUTHORIZED REPRESENTATIVE 4-17 ACORD 25(2018103) ® reserved. 1988-2015 ACORD CORPORATION. All rights The ACORD name and logo are registered marks of ACORD NEW Workers'RK CERTIFICATE OF i STCA E Compensation Board NYS WORKERS, COMPENSATION INSURANCE COVERAGE 1a Legal Name&Address of Insured(use street address only) tb. Business I elephone Number of InSUied Fairchester Custom Windows LLC. 203406-0545 dba Renewal by Andersen Fairchester 1c.NYS Unemployment Insurance Employer Registration Number of 2041 West Main Street Insured Stamford.CT 06902 Work Location of Insured(Only required it coverage is specifically limited to id.Federal Employer Identification Number of Insured or Social Security certain locations in New York State i e a Wrap-Up Policy) Number 88-2855660 2.Name and Address of Entity Requesting Proof of Coverage 3a Name of Insurance Carrier (Entity Being Listed as the Certificate Holden Selective Insurance Company Village of Rye Brook 3b.Policy Number of Entity Listed in Box"t a" 938 King Street Rye Brook.NY 10573 WC9099063 3c Policy effective period 08112/2023 to 08/12/2024 3d.The Proprietor.Partners or Executive Officers are �X included.(Only check box if all partnersiofficers included) all excluded or certain partners/officers excluded. This certifies that the Insurance carrier Indicated above in box '3"Insures the business referenced above in box 1a"for workers' compensation under the New York State Workers'Compensation Law (To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box "2". The insurance carrier must notify the above certificate holder and the Workers' Compensation Board within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.)Otherwise,this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent,or until the policy expiration date listed in box"3c",whichever is earlier. This certificate is issued as a matter of information only and confers no rights upon the certificate holder This certificate does not amend, extend or alter the coverage afforded by the policy listed, nor does it confer any rights or responsibilities beyond those contained in the referenced policy. This certificate may be used as evidence of a Workers' Compensation contract of insurance only while the underlying policy is in effect. Please Note: Upon cancellation of the workers' compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. Approved by Theresa Brandon (Print name of authorized representative or licensed agent of insurance carrier) Approved by � �' 09/29/2023 (Signature) (Date) Title Agent Telephone Number of authorized representative or licensed agent of insurance carrier. 203-288-3401 Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2 (9-17) vwvw.wcb.ny.gov